WORKING TOGETHER FOR OUR FUTURE!
604-835-7242
Le Natural Mall,
LNM Contracting, LNM Cleaning & Affilate's.
Live Better. Shop Local.
LNM
LNM Referral Form,
Email: lenaturalmall@gmail.com
Phone: 604-835-7242 or Phone your Rep!
Client update Form
* Required*
Le Natural Mall - Logo
Owner Contact info__________________________________________________________________________________________________
Co- owner contact info_______________________________________________________________________________________________
Address 1.__________________________________________________________________________________________________________
Address 2.__________________________________________________________________________________________________________
Phone Number 1.____________________________________________________________________________________________________
Phone Number 2.____________________________________________________________________________________________________
Email address 1._____________________________________________________________________________________________________
Email address 2._____________________________________________________________________________________________________
Contracts documents signed by owner signature_________________________________________________________________________
Referral form documents signed by owner signature______________________________________________________________________
Contracts documents signed by Co Owner signature______________________________________________________________________
Referral form signed by Co Owner signature_____________________________________________________________________________
Referral form signed by Owner's signature and referral signature.__________________________________________________________
All referral forms will be signed and filled out prior to sale is competed, and must be submitted with application of sales. The referrer will be paid 10% on gross earnings one week after cancellation period and contract cleared, closing of sale. If this is a referral please indicate it, We also need the person that referred full name and contact information and date refereed. There can only be one referrer per application.
Added description for product sold._____________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Value or price of this contract after costs._______________________________________________________________________________
Referring agent or agents_____________________________________________________________________________________________
____________________________________________________________________________________________________________________
What documents have you given your customer__________________________________________________________________________
____________________________________________________________________________________________________________________
Date / Time / Year. *
Day _____________________/______________________/__________________________.
Owner Electronic Signature __________________________________________________
By signing here the owner is stating all information above is true;
Owner Electronic Signature__________________________________________________
By signing here the owner is stating all information above is true;
Co Owner Electronic Signature_______________________________________________
By signing here the owner is stating all information above is true;
Create your own free website today